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Job Information

UnitedHealth Group Senior Credentialing Representative - Irvine, CA or Schaumburg, IL in Schaumburg, Illinois

It's that time, isn't it? You're ready for the next step forward and an opportunity to build on your skills. And it just so happens that there's never been a better time to become a part of the team at UnitedHealth Group. We're building and maintaining extensive provider networks to serve our customers. Our goal is to attract and secure relationships with the best in every specialty and every community. As a senior member of our Provider Credentialing team, you'll help us vet and document the competencies of physicians and other providers in our networks. As you do, you'll discover the resources, backing and opportunities that you'd expect from a Fortune 5 leader.

Get ready for some significant challenges. This is a performance driven, fast paced environment where accuracy is key. You'll be helping us confirm to very exacting standards such as NCQA, CMS and state credentialing requirements.

Primary Responsibilities:

• Help process provider applications and re-applications including initial mailing, review and loading into the database tracking system

• Conduct audits and provide feedback to reduce errors and improve processes and performance

• Demonstrate great depth of knowledge/skills in own function and act as a technical resource to others

• Solve complex problems on own; proactively identify new solutions to problems

• Act as a facilitator to resolve conflicts on team

• Perform as key team member on project teams spanning more than own function

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • High school diploma or equivalent work experience

  • 4+ years of health care provider credentialing experience

  • 2+ years experience working with compliance workflows and processes, including NCQA policies and practices

  • 2+ years experience in researching and applying government regulatory information

  • Intermediate level of proficiency with MS Excel and Word

  • Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements, and will obtain necessary proof of vaccination prior to employment to ensure compliance.

UnitedHealth Group is working to create the health care system of tomorrow. Already Fortune 5, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good. Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed.

UnitedHealth Group requires new hires and employees to report their COVID-19 vaccination status.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Job Keywords: Irvine, CA, S,chaumburg, IL, NCQA, CMS, credentialing, healthcare, #RPO

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